Nursing home
Apple Ridge Care Center
100 West Thomas Avenue, Waverly, MO 64096 · Map
For profit - Corporation · Part of Circle B Enterprises (29 facilities) · 60 certified beds
Apple Ridge Care Center is a Medicare-certified nursing home in Waverly, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 2.64 hours per resident per day, below the Missouri average of 3.47. Its most recent inspection on Sep 11, 2024 cited 19 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Apple Ridge Care Center compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.64 | 3.47 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.19 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.49 | 2.32 | 2.34 | below avg |
| Nursing staff turnover | 60.5% | 57.0% | 46.4% | above avg |
| Deficiencies cited, last inspection | 19.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Apple Ridge Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care Deficiencies · Dec 30, 2025 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 30, 2025 · Full report (PDF) - Potential for harm
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Jul 18, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 11, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies · Sep 11, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 100 West Thomas Avenue
Waverly, MO 64096 - CMS certification #
- 265420
- Ownership
- For profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 48.2
- Provider type
- Medicare and Medicaid
- First certified
- 1990-04-01
- Chain
- Circle B Enterprises (29 facilities)
- Setting
- Urban
Part of Circle B Enterprises
Circle B Enterprises operates 29 nursing facilities across the United States. View all Circle B Enterprises facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Apple Ridge Care Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day, transportation
- Staff pay 1 federal wage case with violations found, since 2016
Full public records, with dates and sources
Care and services
From the community’s website
What Apple Ridge Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Aug 10, 2016 to Aug 10, 2018. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: Apple Ridge Care Center (Waverly #1, Inc.). Case 1860929.
DOL also concluded 1 case here with no violations found, most recently for a period ending Jan 20, 2006.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Carroll County Memorial Hospital, Carrollton. 11.3 miles away, straight line.
- Nearest Medicare nursing home
- Carroll House, Carrollton. 10.4 miles away, straight line.
- Nearest home health agency office
- Fitzgibbon Community Home Health, Marshall. 18.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Summers Pharmacy. 18.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 64096 as rural (rural area).
- Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 64096.
Shirkey Hospice And Palliative Care, office in Richmond, 23.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Topaz Bay Senior Health PC, Independence. 49.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire relatively low, tornado relatively moderate, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Apple Ridge Care Center a good nursing home?
CMS gives Apple Ridge Care Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Apple Ridge Care Center staffed?
Apple Ridge Care Center reports 2.64 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Apple Ridge Care Center had inspection problems?
Its most recent CMS inspection cited 19 deficiencies.
How many beds does Apple Ridge Care Center have?
Apple Ridge Care Center is certified for 60 beds.